Access Restriction

Author Zeuge, Ulf ♦ Fehr, Martin ♦ Meyenberger, Christa ♦ Sulz, Michael Christian
Source Directory of Open Access Journals (DOAJ)
Content type Text
Publisher Karger Publishers
File Format HTM / HTML
Date Created 2016-08-17
Copyright Year ©2014
Language English
Subject Domain (in LCC) RC799-869
Subject Keyword Endoscopic retrograde cholangiopancreatography ♦ Pneumobilia ♦ Complication ♦ Biliary tract disease ♦ Internal medicine ♦ Diseases of the digestive system ♦ Medicine ♦ Gastroenterology ♦ Choledochoduodenostomy ♦ Sump syndrome ♦ Cholangitis ♦ Specialties of internal medicine
Abstract Sump syndrome is a rare long-term complication of side-to-side choledochoduodenostomy (CDD), a common surgical procedure in patients with biliary tract disease in the era before endoscopic retrograde cholangiopancreatography (ERCP). Frequently only pneumobilia, serving as sign for functioning biliary-enteric anastomosis, is reminiscent of the former surgery. We present the case of an 81-year-old patient with sump syndrome who presented with clinical signs of ascending cholangitis, decades after the initial CDD procedure. Finally the detailed medical history that was taken very thoroughly in combination with the presence of pneumobilia led to the suspicion of sump syndrome. Sump syndrome was diagnosed by ERCP, and after endoscopic debris extraction and antibiotic treatment the patient recovered quickly. In the ERCP era little is known about CDD and its long-term complications, especially by young colleagues and trainees. Therefore this report provides an excellent opportunity to refresh the knowledge and raise awareness for this syndrome.
ISSN 16620631
Age Range 18 to 22 years ♦ above 22 year
Educational Use Research
Education Level UG and PG ♦ Career/Technical Study
Learning Resource Type Article
Publisher Date 2014-11-01
e-ISSN 16620631
Journal Case Reports in Gastroenterology
Volume Number 8
Issue Number 3
Page Count 6
Starting Page 358
Ending Page 363

Source: Directory of Open Access Journals (DOAJ)